Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.51 / $4,112.00 / $4,933.00	Facility		$793.51	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.73 / $641.42 / $824.03	Professional		$528.73	$641.42	$824.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.90 / $3,877.99 / $9,106.93	Facility		$2,871.90	$3,877.99	$9,106.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.35 / $938.69 / $1,506.60	Professional		$178.35	$938.69	$1,506.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.05 / $728.51 / $1,297.57	Professional		$451.05	$728.51	$1,297.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $649.58 / $4,112.00 / $4,933.00	Facility		$649.58	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $590.86 / $688.95 / $1,051.45	Professional		$590.86	$688.95	$1,051.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $428.19 / $719.19	Professional		$68.50	$428.19	$719.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.98 / $754.04 / $1,001.27	Professional		$631.98	$754.04	$1,001.27